Deep neck infections in children

Pei Ti Tan, Luan Yin Chang, Yhu Chering Huang, Cheng Hsun Chiu, Chao Ran Wang, Tzou Yien Lin

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

From December 1989 through 1998, a total of 68 children with deep neck infection were enrolled into this study. The mean age was 5.9 years (range, 1 month-15.8 years). Infections in the retropharyngeal space (36.7%) were most common, followed by parapharyngeal space (30.8%), peritonsillar space (20.6%), and submandibular space (11.9%). Fever, neck pain, and swelling were the most frequent symptoms. The most common pathogens were viridans streptococci (41%, 16/39) and Staphylococcus aureus (26%, 10/39). Other isolates included Prevotella spp., Veillonella spp., Klebsiella pneumoniae, Escherichia coli, Morganella spp., and Enterobacter spp. Mixed infection was found in 46% (18/39) of patients. The mean duration of hospitalization was 12.4 days (range, 2-45 days). Complete resolution was achieved in 61 (89.7%) children. Complications occurred in 7 patients, including recurrence, mediastinal spread, bacteremia, and suppurative thyroiditis; the patient with mediastinal spread plus bacteremia died. Five patients had congenital cyst and 4 of them had complications or recurrence/relapse. In conclusion, infections in the retropharyngeal space and polymicrobial infections were most common in deep neck infection of Taiwan children.

Original languageEnglish
Pages (from-to)287-292
Number of pages6
JournalJournal of Microbiology, Immunology and Infection
Volume34
Issue number4
Publication statusPublished - 2001
Externally publishedYes

Keywords

  • Children
  • Deep neck infection
  • Taiwan

ASJC Scopus subject areas

  • Microbiology (medical)
  • Immunology and Allergy
  • Immunology and Microbiology(all)

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  • Cite this

    Tan, P. T., Chang, L. Y., Huang, Y. C., Chiu, C. H., Wang, C. R., & Lin, T. Y. (2001). Deep neck infections in children. Journal of Microbiology, Immunology and Infection, 34(4), 287-292.